EA182403 - Building - Drain Tile - Issued Date 04/28/2023 PERMIT
City of Eagan ® ® Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA182403
Eagan,MN 55122 `®®® ®_-®
EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 2 4 0 3
Date Issued: 4/28/2023
Site Address: 3785 Blackhawk Ridge Cir
Lot: 10 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-100
Use: * 10 - 1440 1 - 02 — 100 *
Description:
Sub Type: Drain Tile Construction Type: V-B
Work Type: New
Description:
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary' BL-Drain Tile/Radon $94.00 0801.4085
BL-Plan Review-Fixed $40.00 0720.4222
Surcharge-Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant - Owner:
American Waterworks Richard C Hassinger
1307 Valleyhigh Dr NW 3785 Blackhawk Ridge Cir
Rochester MN 55901 Eagan MN 55122-426
(800)795-1204
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature sued B . Signature
r----------------,
I For Office Use
pp p a 0 1 Permit#:
IL 0
EAGA°®®® ®••® i Permit Fee:
'�- ECEIVE
Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I
(651)675-5675 1 TDD:(651)454-8535 1 FAX,(651)675-569421 4 U'3 Staff:
I
buildinginspectionsfti ofeagan.com ----------------
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2-
3 Site Address: '31'WS 0 Unit#:
Nam4 4_1 Phone: 314"3N -11R(p
Resident/
Owner Address 1 city I Zip:
p �
Applicant is: OwnerContractor 1 p�
Type of Work Description of work:w Ukk ID!ft. T-i �—
Construction Cost: Multi-Family Building:(Yes �/No
Company: 1 i�1 CGt.f/1. J_, 0A7e W 01" Contact: ML( S O^ Yr wGr 6
Contractor Address:ISO Ua.iltu in t:A�_ VY (UUJ City: Q-OtAh..&R4f
State:"ZIP: 55!n1 Phone: 15n-972-- Email: "Li&u C&AA-g—CI C-"rt—
tift
License#: Lead Certificate#: Tr O •
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the Information may be
classified as non-public if ou provide specific reasons that would permit the eLtz to conclude that thqz are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/aubscriba.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities. www.coaherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
x
Applicant's Anted Na Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
r/Single Family _ Garage — Porch (4-Season) — Exterior Alteration(Multi)
— Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
,Iteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation /S a 7'G Occupancy aZc-% MCES System
Plan Review Code Edition tjyiZC-,2q 3 SAC Units
(25%-100%,--) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V'jj Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) f Final/No C.O.Required
Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour ✓ Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan J / Other:
Reviewed By: �.Ne I®^ , Building Inspector
RESIDENTIAL FEES K-4 G
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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